How do Supervising Clinicians of a University Hospital and Associated Teaching Hospitals Rate the Relevance of the Key Competencies within the CanMEDS Roles Framework in Respect to Teaching in Clinical Clerkships?

Background and aim: In German-speaking countries, the physicians’ roles framework of the “Canadian Medical Education Directives for Specialists” (CanMEDS) is increasingly used to conceptualize postgraduate medical education. It is however unclear, whether it may also be applied to the final year of undergraduate education within clinical clerkships, called “Practical Year” (PY). Therefore, the aim of this study was to explore how clinically active physicians at a university hospital and at associated teaching hospitals judge the relevance of the seven CanMEDS roles (and their (role-defining) key competencies) in respect to their clinical work and as learning content for PY training. Furthermore, these physicians were asked whether the key competencies were actually taught during PY training. Methods: 124 physicians from internal medicine and surgery rated the relevance of the 28 key competencies of the CanMEDS framework using a questionnaire. For each competency, following three aspects were rated: “relevance for your personal daily work”, “importance for teaching during PY”, and “implementation into actual PY teaching”. Results: In respect to the main study objective, all questionnaires could be included into analysis. All seven CanMEDS roles were rated as relevant for personal daily work, and also as important for teaching during PY. Furthermore, all roles were stated to be taught during actual PY training. The roles “Communicator”, “Medical Expert”, and “Collaborator” were rated as significantly more important than the other roles, for all three sub-questions. No differences were found between the two disciplines internal medicine and surgery, nor between the university hospital and associated teaching hospitals. Conclusion: Participating physicians rated all key competencies of the CanMEDS model to be relevant for their personal daily work, and for teaching during PY. These findings support the suitability of the CanMEDS framework as a conceptual element of PY training.

A) no yes, in total B) < 10 hours of teaching C) 10-119 hours of teaching D) ≥ 120 hours of teaching E) A specific programme in medical education (e.g. postgraduate master) 9) How many working hours per week do you devote to scientific work in average (e.g. to manage clinical studies, basic research, educational research etc.) ?

PART B:
For the following questions we would like you to rate the relevance of certain competencies on a 5-point rating scale. Please, mark the respective letter on the (additional) answering sheet. The most extreme ratings code for: "A" = "fully agree" "E" = "fully disagree" A) Role as "Collaborator": As Collaborators, physicians effectively work within a healthcare team to achieve optimal patient care.
Effectively work with other health professionals to prevent, negotiate, and resolve interprofessional conflict

10)
How relevant is it to teach this competency to PY students ? 11) Do you actually teach this competency to PY students ? 12) How relevant is this competency for your personal daily work ?
Participate effectively and appropriately in an interprofessional healthcare team 13) How relevant is it to teach this competency to PY students ? 14) Do you actually teach this competency to PY students ? 15) How relevant is this competency for your personal daily work ?

B) Role as "Health Advocate":
As Health Advocates, physicians responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations.

16)
How relevant is it to teach this competency to PY students ? 17) Do you actually teach this competency to PY students ? 18) How relevant is this competency for your personal daily work ?
Physician responds to the health needs of the communities that they serve

19)
How relevant is it to teach this competency to PY students ? 20) Do you actually teach this competency to PY students ? 21) How relevant is this competency for your personal daily work ?
Physician identifies the determinants of health for the populations that they serve

22)
How relevant is it to teach this competency to PY students ? 23) Do you actually teach this competency to PY students ? 24) How relevant is this competency for your personal daily work ? How relevant is this competency for your personal daily work ?
Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic.

43)
How relevant is it to teach this competency to PY students ? 44) Do you actually teach this competency to PY students ? 45) How relevant is this competency for your personal daily work ?

D) Role as "Scholar":
As Scholars, physicians demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application and translation of medical knowledge.

46)
How relevant is it to teach this competency to PY students ? 47) Do you actually teach this competency to PY students ? 48) How relevant is this competency for your personal daily work ?

49)
How relevant is it to teach this competency to PY students ? 50) Do you actually teach this competency to PY students ? 51) How relevant is this competency for your personal daily work ?

52)
How relevant is it to teach this competency to PY students ? 53) Do you actually teach this competency to PY students ? 54) How relevant is this competency for your personal daily work ?

E) Role as "Professional":
As Professionals, physicians are committed to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behaviour.

55)
How relevant is it to teach this competency to PY students ? 56) Do you actually teach this competency to PY students ? 57) How relevant is this competency for your personal daily work ?

58)
How relevant is it to teach this competency to PY students ? 59) Do you actually teach this competency to PY students ? 60) How relevant is this competency for your personal daily work ?
Demonstrate a commitment to physician health and sustainable practice 61) How relevant is it to teach this competency to PY students ? 62) Do you actually teach this competency to PY students ? 63) How relevant is this competency for your personal daily work ?

F) Role as "Manager":
As Managers, physicians are integral participants in healthcare organizations, organizing sustainable practices, making decisions about allocating resources, and contributing to the effectiveness of the healthcare system.

64)
How relevant is it to teach this competency to PY students ? 65) Do you actually teach this competency to PY students ? 66) How relevant is this competency for your personal daily work ? How relevant is this competency for your personal daily work ?
Please, and finally, rank the above described roles according to their relevance for PY training. The "medical expert" role not ranked here, because of its integrative character.